# NORTHWEST ARKANSAS ENDODONTIC SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528253416
- **Authorized official:** DR. JAMES MARTIN TINNIN D.D.S., M.S.D. (PRESIDENT)
- **Authorized official phone:** (479) 521-2814

## Contact information

- **Practice address:** 1831 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
- **Practice address phone:** (479) 521-2814
- **Practice address fax:** (479) 521-5842
- **Mailing address:** 1831 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
- **Mailing address phone:** (479) 521-2814
- **Mailing address fax:** (479) 521-5842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 1998 | AR | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/13/2007